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1407319544
NICOLE COPPACK
MASSAPEQUA, NY
NPI
1407319544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 084337)
Enumeration Date
2019-04-06
Last Update Date
2019-04-06
Business Address
Mrs. NICOLE COPPACK LMSW
201 N DELAWARE AVE
MASSAPEQUA, NY 11758-1869
Phone number: 516-753-3691
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Mailing Address
Mrs. NICOLE COPPACK LMSW
119 UNION AVE
AMITYVILLE, NY 11701-3025
Phone number:
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